With springtime heat waves in Israel, unfortunately, EMA Care has been called in recently to assist gap year students experiencing serious medical conditions stemming from dehydration. Dehydration can set it quickly in otherwise healthy people when the weather gets dry or hot – but heatwaves in Israel magnify the problem with both heat and dry winds.
Student #1- Complained of serious back pain urinary tract infection symptoms. She believed her back pain was due to tossing and turning all night. Her urine test showed that she was severely dehydrated, but had no infection… and the dehydration was starting to affect her kidneys and bladder. She stated to be drinking water “all the time” but careful analysis showed that she was drinking 1.5 liters of water daily, even after being outdoors regularly.
Student #2 – Students had a recent a weekend “Shabbaton” with their gap year school. Most of the activities were indoors because of the heat, but required walking outdoors from building to building. Several students reported dizziness and headaches as well as fatigue. One student was convince he had mononucleosis from the exhaustion. At the Shabbaton, drinks were available at meals only. Five students were diagnosed with dehydration, and symptoms resolved once they rehydrated properly.
1. Drink lots and lots of cool water. You should have water with you at all times. If spending time outdoors, students should plan to drink at least 3 liters of water daily (12 measured cups).
2. Students must drink at least some fluids with electrolytes, such as juice or even sodas.
3. Wear light colored, loose clothing that covers your legs and arms. Sometimes, our instinct is to wear clothes that cover less skin when it is hot, but this is counterintuitive. Clothing can be a great protection against dehydration and heat stroke.
4. WEAR A HAT with a brim!
5. Avoid hard outdoor physical work, especially during daylight hours.
6. People at risk for heat stress should stay indoors. This includes small children and babies, obese people, older people, people with heart disease and high blood pressure, people with asthma.
7. Do not drink alcohol and minimize caffeine! Alcohol and caffeine are dehydrating. Any such drinks should be compensated with additional 2 glasses of water.
8. When indoors, close windows, curtains, and or shades. If the weather is cooler at night, you can air out the indoor spaces at night.
The most common problem linked to hot weather is heat stress. Heat stress occurs when the body’s temperature is no longer low enough to cool the body. It’s important to recognize the signs of heat stress. Some people may experience a heat rash; others heat cramps, dizziness and fainting. When this happens - stop all activity and move the person indoors to, hopefully, an air-condition environment. Increase fluid and rest for several hours.
Heat exhaustion is a serious condition that can develop into heatstroke. Warning signs may include paleness and sweating, rapid heartbeat, muscle cramps, headache, nausea, vomiting, dizziness and/or fainting. Get the person to a cool area and lay them down. Remove outer layer of clothing and rub down with cool, damp cloths. Increase fluids slowly and rest for several hours at a minimum. Oftentimes, this person will require medical attention.
Heatstroke is a medical emergency and requires urgent medical attention!! The symptoms of heatstroke may be the same as for heat exhaustion, but the skin may be dry with no sweating and the person’s mental or neurological condition worsens. Most people will have noticeable changes such as confusion, clumsy walk, slurring words, and may collapse. Heatstroke can cause irreparable damage to the body, and even death. Call 101, or the emergency number in your area, immediately for an ambulance.
We at EMA Care hope you stay cool and comfortable during this heatwave. Drink lots of water, cover up, and stay safe!
EMA Care provides medical concierge, case management, and patient advocacy services to tourists, students and residents of Israel. EMA Care is currently signing up gap year students for the 2018-9 academic year. Schedule your free consultation today at email@example.com
My experience with Ema Care has been so positive that I wanted to share it in case it could help someone else. Eight days ago my daughter, a Shanah Bet student, called to say she wasn’t feeling well and had symptoms of Covid-19. I was put in touch with an Infectious Disease specialist who recommended Ema Care. I reached Dr. Eliana Aaron easily and signed my daughter up. The next morning, Ema Care gave my daughter a telehealth exam and provided her with prescriptions, as well as a list of...
I would like to also add my compliments, you exceeded my already very high expectations. You can certainly send other schools our way for a recommendation.
-Mr. E. Naiman
Dear Dr. Eliana words simply cannot express how much you have done for all of us and so many others in keeping us informed, calming anxieties, and being such a wonderful and patient resource through such a difficult time. Wishing you much bracha and hatzlacha in the merit of all the countless mitzvot u have done to help so many through these trying times; mikol halev, ein milim and thanks so so much .
Gap Year Program Staff
Hello Dr. Aaron. I cannot thank you enough for providing not only crucial information but a framework that gave us stability and allowed us to function (instead of descending into chaos, which undoubtedly would have happened, if not for you). At the risk of waxing dramatic, I will tell you that when I think of what you've done these past couple of months, what comes to mind is Rav Yohanan Ben Zakai asking Vespasian to give him Yavneh ve-Hakhameha, thus saving the entire enterprise of Talmud...
I just wanted to say I think Dr. Eliana is one of the most rationale people providing the public with current information. I have no idea how I came across your Facebook page but I love what you say, just heard the one about reopening shuls, and the way you present it. clear, concise and factual. I work in Toronto on COVID 19 and just wanted to let you know that you are doing a fantastic job. I think here there are community doctors putting out information and I have told them they are too...
I just wanted to thank you very much for that presentation. Very thorough and certainly helped create important and necessary focus. Very much appreciated.
Gap Year Program Staff
First of all, thank you for that incredibly informative call. Really got us thinking about all the issues we need to consider for next year. Thank you in general for being available to all of us on the group. We have benefited so much from your wisdom and advice over the past few weeks.
Head of Gap Year Program
I just wanted to thank you for all your guidance and advice you're are providing the yeshivot and midreshot. I'm the Director of a boys program and although I'm sure you've heard it many times already, your role has been indispensable in getting us all through this.
Head of Gap Year Program